Chest tightness and mediastinal widening

Sheng-Yuan Ruan; Jih-Shuin Jerng
July 2008
CMAJ: Canadian Medical Association Journal;7/29/2008, Vol. 179 Issue 3, p255
Academic Journal
The article discusses a woman patient with stage IV lung adenocarcinoma that was admitted to a hospital for blood transfusion and chemotherapy. The woman was diagnosed with mediastinal hematoma due to a Port-a-Cath complication and was arranged for a CT scan of the chest. It discusses a differential diagnosis that suggests aortic dissection, however, due to absence of signs such as decreased peripheral pulse, and aortic regurgitation, the diagnosis was ruled out. Other evidence that did not support this diagnosis include absence of alveolar, and interstitial infiltration.


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